Anissa Michelle Doan
Individual provider Active NPI Professional Counselor · Elkhorn City, KY
NPI 1104545193 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1104545193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 291037 (KY)
- Practice address
- 5971 Poor Bottom Rd
Elkhorn City, KY 41522-8150 - Phone
- (606) 273-8131
- NPI assigned
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250305002969 | KY | Practitioner - Mental Health Counselor | 5294256319 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289931 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 276135 | KY | MD | Professional Counselor |
| 291037 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 276135 | KY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 289931 | KY | |
| Mental Health Counselor | 101YM0800X | 3134 | WV | |
| Professional Counselor | 101YP2500X | 291037 | KY | Yes |
Addresses
Primary practice location
5971 Poor Bottom Rd
Elkhorn City, KY 41522-8150
Mailing address
5971 Poor Bottom Rd
Elkhorn City, KY 41522-8150
Phone (606) 273-8131
Other practice location 1
22 N Locust St
Buckhannon, WV 26201-2232
Phone (304) 460-2315
Other providers in Elkhorn City, KY
- William Keith Boggs
- Nichol B. Burchfield
- Emily Nicole Chaney
- Rachel Davis
- Adrianna Deskins
- Elkhorn Ambulance Service, Inc
- Elkhorn City Post Acute LLC
- Elkhorn Dental
- Elkhorn Dental PSC
- Elkhorn Drug Inc
All providers in Elkhorn City, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.